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例1 男,20岁,因颈痛3年,3肢体功能障碍逐渐加重5个月于1976年10月28日入院。查体:右上肢肌力Ⅳ级,双下肢肌力Ⅲ级,肌张力高。腱反射(+++),郝夫曼氏征双(+),巴彬斯基氏征双(+)不能行走,大小便困难,腰穿压力1.9mmHg,csf蛋白82.5mg％,X线颈4～5左椎弓根破坏,椎体右缘不清,后缘有压迹椎间孔扩大,局部有钙化,行C_(3-5)椎管探查术。术中发现硬脊膜外有一个质硬2.2×1.2cm包膜完整肿物,硬脊膜下有一个质硬、壁圆形包膜完整1.5×1.0cm大小肿物,均完整切除,病理诊断:骨缘化脊膜瘤,同年12月11日痊愈出院。
Example 1 Male, 20 years old, 3 years due to neck pain, 3 limb dysfunction gradually aggravated 5 months in October 28, 1976 admission. Physical examination: right upper limb muscle strength Ⅳ, lower limb muscle strength Ⅲ grade, high muscle tension. Tendon reflex (+++), Hoffman’s sign double (+), Babinski’s sign double (+) can not walk, urine, waist pressure 1.9mmHg, csf protein 82.5mg%, X-ray neck 4 ~ 5 left pedicle destruction, vertebral right edge is unclear, trailing edge of the intervertebral foramen enlarged, local calcification, line C_ (3-5) spinal exploration. Surgery was found in the epidural a soft 2.2 × 1.2cm complete capsule of the tumor, the dura mater has a hard, wall round capsule complete 1.5 × 1.0cm size of the tumor, were completely removed, the pathological diagnosis : Osteoid meningioma, the same year, December 11 was discharged.